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NURSING CARE PLAN

CUES NURSING RATIONALE GOAL/OBJECTIVE INTERVENTION RATIONALE EVALUATION


DIAGNOSIS
P-Activity Hypertension is a SHORT TERM: INDEPENDENT: SHORT TERM:
OBJECTIVE: Intolerance dangerous After 30 to After 30
condition because -symptoms
it can lead to 60 minutes of -note client to 60 minutes
may be result
-discomfort E-related to serious nursing reports of or contribute
of nursing
generalized complications. intervention, the weakness, to intolerance intervention,
-abnormal weakness, Chronically patient will be difficulty in of activity. the patient
elevated blood
blood inability to able to: accomplishing was able to:
pressure increases -adequate
pressure perform the risk of task.
energy
(140/70) activity developing heart -Participate in reserves are -Participate in
failure, heart necessary -assess requirements necessary
S-as attacks, arterial physical activity nutritional for activity. physical
aneurysm and
manifested strokes. Many
with appropriate status. activity with
by: increases in -helps to appropriate
cases of chronic minimize
renal failure have blood pressure frustration increases in
SUBJECTIVE: -discomfort been linked to high and monitor -provide and rechannel blood
“Nanghihina blood patters within positive energy. pressure and
pressure.Hyperten
ang katawan -abnormal sion is a normal limits atmosphere, monitor
ko.” blood dangerous while patters within
pressure condition because -Identify acknowledging normal limits
(140/70) it can lead to activities or difficulty of the
serious
complications.
anxiety- situation for -Identify
-patient’s Chronically producing the client. activities or
verbalizatio situations that -to reduce anxiety-
elevated blood
intensity level
n of pressure increases may contribute or producing
“Nanghihina the risk of to activity DEPENDENT: situations that
developing heart discontinues
ang katawan failure, heart intolerance -adjust activity that may
ko.” attacks, arterial activities to cause contribute to
aneurysm and LONG TERM: prevent undesired activity
strokes. physiological
After 2 to 4 overexertion. changes. intolerance
hours of nursing
Reference:
medical-surgical intervention, the -to monitor LONG TERM:
pp. 790-791 patient will be the effect of After 2 to 4
able to: -monitor the hours of
medications
response to that were nursing
-Balances supplemental given intervention,
activity and rest. medication and the patient
changes in was able:
-Perform home regimen. -to monitor
maintenance the effect of -Balances
management -note the activity and
medications
with some help treatment- that were rest.
related factors, given
-Verbalize such as side -Perform
understanding effects/interacti home
of need for on of maintenance
-to develop
medications that medication. individually management
may increase appropriate with some
tolerance for -provide therapeutic help
activities. referrals to regimens.
other -Verbalize
disciplines such understanding
as exercise of need for
physiologist, medications
recreational/lei that may
sure specialist, increase
as indicated. tolerance for
activities.

Goal Met
(Patient’s
verbalization
of “Medyo
malakas na
ako compare
mo kanina.”)